DIANE LYNN BRACKIN (NP) – Gerontology Nurse Practitioner, NPI 1730579525
Gerontology Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
8,192 NURSE PRACTITIONER in IN
Provider Addresses for DIANE LYNN BRACKIN (NP)
9894 E 121ST ST
FISHERS, IN 460374154
Phone: (317) 621-4900
Type: Location
6626 E 75TH ST
SUITE 500
INDIANAPOLIS, IN 462502805
Phone:
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 107 Open Payments records for all available years, with a total value of $11,863.
Total Amount is formed as General ($11,863) + Research ($0) + Ownership ($0) = $11,863.
Last reported payment date: 2024-12-11 • Largest payer in this snapshot: United Therapeutics Corporation ($5,572).
Total Amount
$11,863
General + Research + Ownership
Payments
107
Total payment records
General Amount
$11,863
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-11
Latest reported date
Top Companies
Largest payers in this snapshot
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2015-08-06
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20150806010353 | I | Nurse Practitioner | IN | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 32 | 19 | $0 |
| 94618 | Test for exercise-induced lung stress | 31 | 16 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 23 | 17 | $0 |
Insurance plans in this area (ZIP 46037)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Cardiac Electrophysiology | NV | |
| Medical Oncology, Hematology | IN | |
| Medical Oncology, Hematology | IN | |
| Nurse Practitioner | IN | |
| Medical Oncology, Hematology, Internal Medicine | IN | |
| Nurse Practitioner | IN | |
| Colorectal Surgery (Proctology) | IN | |
| Nurse Practitioner | IN | |
| Nurse Practitioner | IN | |
| Medical Oncology, General Surgery | LA |
Reviews
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